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Credentials Verification Form

Why do I need to fill out this form?

State law requires that you verify certain education background and professional certifications that you claim. If you lie or falsify these records, you can be disciplined or fired depending on the circumstances. You are required to sign this form to verify that you are aware of your responsibilities related to this law.

  • Download the Credentials Verification form (.PDF)*

    Please Note:
    This is an interactive Adobe PDF form; with the exception of the signature line and the information that needs to be completed by the University, you can complete the form online and then print out a hard copy for submission.

* .PDF refers to Portable Document Format, which is a readable format for many types of web documents. If you do not have Adobe Acrobat Reader installed on your computer, you will not be able to see the form. Acrobat Reader is free and available at the Adobe website:

Acrobat Reader Get Adobe Acrobat Reader

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